| NPI | 1396697751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH018477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202219285) |
| 183500000X Pharmacist (Licence: LA PST.015400) | |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |